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Coroner’s reportPrevention of future deaths · 2026-0364

“Eden had been staying at a highly supportive rehab facility”

Dated 6 Jul 2026, from the coroner for Inner North London. Sent to 2 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.

  1. Report dated6 Jul 2026
  2. Deadline31 Aug 2026
  3. Published on judiciary.uk16 Sep 2026
  4. Today22 Oct 2026

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Responses from each recipient

The coroner’s concerns

– 1) Eden had been staying at a highly supportive rehab facility. He was at high risk of relapse on leaving rehab. The move to hostel accommodation with a much lower level of support increased the risk of Eden relapsing into crystal meth use. This was compounded by the absence of both his housing and substance misuse keyworkers at the point that he left rehab and moved into the hostel. 2) The needs and presentation of crystal meth users may not fit easily within mainstream drug treatment and housing services. Historically mainstream services have tended to build services and develop staff training around the presentation and needs of opiate and/or crack cocaine users. The behaviour of individuals whilst under influence of crystal meth can present challenges for services. In addition, as a disproportionate number of crystal meth users are gay men, they may experience homophobia whilst using mainstream services. 3) The provision of substance misuse services and hostel keywork support on a Monday to Friday daytime working model can mean that specialist support is not available at key times. Given crystal meth’s associations with the club scene and nighttime economy, users are most vulnerable to relapse and resultant problematic behaviour during the night and at weekends. In Eden’s case, signs of potential relapse were noted by hostel staff early on Thursday morning but were not escalated to his hostel keyworker prior to drug services closing for the weekend on Friday evening.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2026-0364
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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